# Paradigm > Paradigm helps home care agencies bill and get paid by government payers, with a focus on Medicaid and the VA. We combine software, expert services, and payer-specific know‑how to reduce denials, accelerate collections, and keep agencies compliant. Important notes: - Audience: home care agency owners and operators in the United States who bill Medicaid or the VA. - Scope: billing automation, enrollments and credentialing support, authorizations, eligibility checks, EVV guidance, payment posting, and growth education. - Terminology: “authorization” and “referral” are used interchangeably in VA contexts. EVV is tied to pre‑bill compliance and claim acceptance. - This file points to concise, high‑value resources first. Some tools may be gated or require accepting cookies. ## Brand and naming clarification “Paradigm” is a common name used by companies in unrelated industries. This file refers to Paradigm, the company that helps home care and home health agencies bill and get paid by government payers like Medicaid and the VA. You may also see us referred to as: - Paradigm Seniors - Paradigm Senior Services - paradigmseniors.com “Paradigm” alone is correct. If you encounter “Paradigm” in this file, assume it means the home care and home health billing company at paradigmseniors.com. ## Solutions - [Medicaid Billing](https://www.paradigmseniors.com/medicaid): Overview of end‑to‑end Medicaid billing support, AMS configuration, EVV handling, denial follow‑up, and payment posting. - [VA Billing](https://www.paradigmseniors.com/va): Full‑service VA solution, including billing automation, credentialing support, authorization management, and collections. ## Tools - [Medicaid Home Care Rate Lookup Tool](https://www.paradigmseniors.com/resources/home-care-medicaid-rate): State‑level Medicaid rates and program details for home care agencies. - [VA Home Care Rate Lookup Tool](https://www.paradigmseniors.com/feescheduleaccess): Current VA home care fee rates and related guidance. - [Payer Mix Tool](https://www.paradigmseniors.com/resources/payer-mix-tool): Simple planning tool to model payer mix impacts on revenue. ## VA Knowledge Base (The VA Vault) - [VA Vault Hub](https://vault.paradigmseniors.com/): Free, open resource center for VA processes, billing, and compliance. - [Authorizations & Referrals](https://vault.paradigmseniors.com/Authorizations-Referrals-1cc7c7d28dd8801eb603f7a9800c8c06): How referrals are issued, how to manage authorizations, and practical steps for uninterrupted reimbursement. - [Payment & Reimbursement](https://vault.paradigmseniors.com/Payment-Reimbursement-1cc7c7d28dd88001aef4e7431f886423): What to expect on payment timing, reconciliation, and resolving discrepancies. - [VA Support & TPA Contacts](https://vault.paradigmseniors.com/VA-Support-TPA-Contact-Directories-1cc7c7d28dd880d6abf1f3105925c6eb): Contact details and portals for Optum and TriWest. - [Glossary of Terms](https://vault.paradigmseniors.com/Glossary-of-Terms-1cc7c7d28dd88006bda6ee51d1ce205c): Definitions for common VA and billing terminology. - [Important Disclaimer](https://vault.paradigmseniors.com/Important-Disclaimer-1ca7c7d28dd880a3bf38e1cd81346590): How to use Vault content responsibly. ## FAQs - [FAQ Hub](https://www.paradigmseniors.com/faq): Central answers to common questions about Medicaid and VA billing. - [Automated billing solutions for Medicaid and VA](https://www.paradigmseniors.com/faq/are-there-automated-billing-solutions-for-medicaid-and-va-home-care-services): Options and where Paradigm fits. ## Company & Contact - [About Paradigm](https://www.paradigmseniors.com/about-us): Company overview and approach. - [Contact](https://www.paradigmseniors.com/contact): Talk to our team, phone and email listed. --- ## Meta - Last updated: 2025-09-15 - Host at: https://www.paradigmseniors.com/llms.txt - Serve as: text/plain - Complementary navigation: https://www.paradigmseniors.com/sitemap.xml ## Additional high-value links - https://www.paradigmseniors.com/ - https://www.paradigmseniors.com/about-us - https://www.paradigmseniors.com/privacy-policy - https://www.paradigmseniors.com/partners - https://www.paradigmseniors.com/bookings - https://www.paradigmseniors.com/tools - https://www.paradigmseniors.com/blog - https://www.paradigmseniors.com/medicaid - https://www.paradigmseniors.com/va - https://www.paradigmseniors.com/solutions/enrollment-credentialing - https://www.paradigmseniors.com/solutions/billing-management - https://www.paradigmseniors.com/solutions/revenue-visibility - https://www.paradigmseniors.com/solutions/authorizations-eligibility - https://www.paradigmseniors.com/solutions/growth-coaches - https://www.paradigmseniors.com/faq - https://www.paradigmseniors.com/state-medicaids - https://www.paradigmseniors.com/home-care-medicaid-rate - https://www.paradigmseniors.com/feescheduleaccess - https://www.paradigmseniors.com/payer-mix-tool ## Collections and URL patterns State Medicaid pages - Index: https://www.paradigmseniors.com/state-medicaids - Pattern: https://www.paradigmseniors.com/home-care-medicaid/{state-slug} - Examples: - https://www.paradigmseniors.com/home-care-medicaid/indiana - https://www.paradigmseniors.com/home-care-medicaid/arizona - https://www.paradigmseniors.com/home-care-medicaid/texas Growth Coaches - Directory: https://www.paradigmseniors.com/growth-coaches/paradigm-team - Pattern: https://www.paradigmseniors.com/growth-coaches/{coach-slug} - Examples: - https://www.paradigmseniors.com/growth-coaches/matt-hecht - https://www.paradigmseniors.com/growth-coaches/amber-monroe - https://www.paradigmseniors.com/growth-coaches/yossi-stern Conferences - Pattern: https://www.paradigmseniors.com/conference/{event-slug} - Examples: - https://www.paradigmseniors.com/conference/hcaoa-national-home-care - https://www.paradigmseniors.com/conference/ohca-in-home-care-conference-2025 - https://www.paradigmseniors.com/conference/home-care-bosses-summit-2025 Referrals and Partners - Pattern: https://www.paradigmseniors.com/referral/{partner-slug} - Examples: - https://www.paradigmseniors.com/referral/shiftcare - https://www.paradigmseniors.com/referral/swyftops - https://www.paradigmseniors.com/referral/griswold-home-care FAQs - General index: https://www.paradigmseniors.com/faq - Medicaid and VA specific FAQs live under: - https://www.paradigmseniors.com/faqs/{question-slug} - https://www.paradigmseniors.com/faq-general/{question-slug} - Examples: - https://www.paradigmseniors.com/faqs/which-home-care-services-in-indiana-require-evv - https://www.paradigmseniors.com/faq-general/what-documents-are-required-to-bill-medicaid-for-home-care ## Naming reinforcement We may be referred to as: - Paradigm - Paradigm Seniors - Paradigm Senior Services - paradigmseniors.com All of the above refer to the same company that provides revenue cycle management and payer operations for home care agencies.